Individual provider Active NPI

Richard Witt Rupp, MD

  • Diagnostic Radiology Physician
  • Pittsburgh, PA
National Provider Identifier
1255534160
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A111607 Issued in CA
Practice address
3705 Fifth Avenue
Suite 3950
Pittsburgh, PA 15213
Phone
(412) 647-2273
Fax
(412) 802-8221
NPI assigned
Jun 7, 2007
Last updated
Dec 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X MT185539 PA
Diagnostic Radiology Physician 2085R0202X MD436277 PA
Diagnostic Radiology Physician 2085R0202X A111607 CA Primary

Addresses

Primary practice location

3705 Fifth Avenue
Suite 3950
Pittsburgh, PA 15213

Mailing address

200 Lothrop Street
Forbes Tower Suite 9055
Pittsburgh, PA 15213
Phone (412) 647-3087

Other practice location 1

1600 Esplanade Ste C
Chico, CA 95926-3369
Phone (530) 332-4470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101020001059 CA Practitioner - Diagnostic Radiology 4587714571 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
George Washington University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Enloe Medical CenterGroup PAC ID 9739092388, 330 clinicians
Radx Imaging Partners IncGroup PAC ID 5698113041, 46 clinicians

Practice addresses (Care Compare)

1600 Esplanade
Suite C
Chico, CA 95926-3369
Phone (530) 332-4470

5 Mentone Rd
Carmel, CA 93923-9741
Phone (888) 488-7239

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MT185539PAMDBody Imaging Physician
A111607CAMDDiagnostic Radiology Physician
MD436277PAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salinas Valley Radiologists, Inc. Diagnostic Radiology CurrentSince Jul 25, 2010 Accepting new patients
Svmhs Clinics CurrentSince Jul 1, 2021 Accepting new patients
Radx Imaging Partners Inc Diagnostic Radiology CurrentSince Feb 3, 2024 Accepting new patients
Enloe Medical Center CurrentSince Dec 16, 2024 Accepting new patients
Svmhs Clinics CurrentSince Jul 1, 2021 Accepting new patients
Salinas Valley Radiologists, Inc. Diagnostic Radiology CurrentSince Jul 25, 2010 Accepting new patients
Enloe Medical Center CurrentSince Dec 16, 2024 Accepting new patients
GMG Health Systems Associates PA Past Accepting new patients
Lancelot O Alexander MD a Medical Corporation Past Accepting new patients
Enloe Medical Center Past Accepting new patients

Locations

1600 Esplanade
Ste C
Chico, CA 95926
Phone (530) 332-4470

911 Sunset Dr
Hollister, CA 95023
Phone (831) 626-2640

1033 Los Palos Dr
Salinas, CA 93901
Phone (831) 424-2866

450 E Romie Ln
Salinas, CA 93901
Phone (831) 372-7844

559 Abbott St
Salinas, CA 93901
Phone (831) 775-5200

626 Brunken Ave
Salinas, CA 93901
Phone (831) 755-0600

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1255534160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LOTHROP STREET",
            "address_2": "FORBES TOWER SUITE 9055",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15213",
            "telephone_number": "412-647-3087",
            "fax_number": "412-647-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 FIFTH AVENUE",
            "address_2": "SUITE 3950",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15213",
            "telephone_number": "412-647-2273",
            "fax_number": "412-802-8221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Esplanade Ste C",
            "address_purpose": "LOCATION",
            "city": "Chico",
            "state": "CA",
            "postal_code": "959263369",
            "country_code": "US",
            "telephone_number": "530-332-4470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUPP",
        "first_name": "RICHARD",
        "middle_name": "WITT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-07",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "PA",
            "license": "MT185539",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD436277",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A111607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.